Eosinophilic Pustular Folliculitis on the Face with Atypical Clinical Features

J-STAGE
  • SATO Mami
    Department of Dermatology, Graduate school of Medicine, Kyoto University
  • MATSUMURA Yumi
    Department of Dermatology, Graduate school of Medicine, Kyoto University
  • MIYACHI Yoshiki
    Department of Dermatology, Graduate school of Medicine, Kyoto University

Bibliographic Information

Other Title
  • 非典型的な臨床症状を呈した好酸球性膿疱性毛包炎の1例

Description

A 60-year-old woman was referred to our hospital with multiple pruritic moist erythemas mimicking eczema on the face that had worsened and persisted for a few months without responding to topical steroids or oral antibiotics. No pustules and no tendency of central clearing were clinically found. Skin biopsy showed subcorneal pustules in the infundibular epidermis, eosinophilic infiltration and spongiosis of hair follicules, perivascular and sebaceous gland lymphocytic and eosinophilic infiltration. The diagnosis of eosinophilic pustular folliculitis was made and the patient was successfully treated with 50mg/day oral indomethacin and topical tacrolimus ointment. The eruptions almost cleared within a week leaving slight pigmentation. Thereafter, she has occasionally experienced recurrences, which responded well to indomethacin or tacrolimus. Although our case lacked typical clinical features, its clinical course and histology seemed to be consistent with eosinophilic pustular folliculitis.Skin Research, 10: 144-148, 2011

Journal

  • Skin research

    Skin research 10 (2), 144-148, 2011

    Meeting of Osaka Dermatological Association/Meeting of Keiji Dermatological Association

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